September 2024 Pediatric Call

September Peds Collaborative Calls 2024

September Collaborative Call Meeting Minutes

September 19, 2024 11-12:30 EST

• Welcome & introductions, Nicole Rioles, MA and Osagie Ebekozien, MD, MPH, CPHQ
• Clinical center presentations
• Children’s Health, UT Southwestern, Abha Choudhary, MD
  • CGM intervention: identified barriers to data sharing
  • Aim: sharing CGM data by 15%
  • Fishbone- no workflow for sharing data
  • Smart phrases added to Epic in Spanish and English
  • PDSAs: educated staff, smart phrases, website resources for patients, incentivize staff to add checkbox to clinic check in (food incentives)
  • Onboard patients to remote monitoring platform (with CGM sharing)
  • Baseline was 63%. Intervention period: 66%
  • Coaching pts to keep Dexcom app open, expand to Libre, expand to Plano campus, SDOH correlation
• University of Utah, Intermountain Health, Allison Smego, MD and Vana Raman, MD
  • Addressing barriers to pump utilization and AID
  • Aim- improve glycemic outcomes and to increase pump use from 70-75%
  • Barriers in fishbone made intervention decisions: pump intro packets. Spanish pump class incorporated
  • Pump start checklist with flows
  • Offer quiz on knowledge gained after education. Nurses review and follow up
  • Tried to build acceptance of changed standards/processes from educators
  • Addressed mistrust about technology
  • 70% at baseline- increased to 84%. Increases gained for Hispanic and Black patients.
  • % of patients with A1c in goal range has increased.
• Cleveland Clinic, Andrea Mucci, MD
  • Transitions intervention
  • Using Got Transition 6 core element steps
  • Aim- increase percentage being assessed using the READDY tool to 100%
  • Fishbone to ID barriers
  • Started with paper questionnaire
  • Made an Epic template documentation
  • 80% if cumulative patients of total eligible were screened with questionnaire
  • Some documentation/completion challenges

• Updates from Coordinating Center
  • The T1DX-QI November Learning Session will be held Monday, November 11, in Chicago, IL. ​
    • The Learning Session will be a 1-day event this year. Please use this link to view the FAQ. ​
    • Call for abstracts: abstract submissions are now open, please use this link to submit your abstract to share your center’s work. ​
    • For additional questions please email qi@t1dexchange.org
    • Please use this link to register for the 2024 T1DX-QI 8th Annual Learning Session.
      • Nov 11: 8 am – 6:30 pm Learning Session
      • Nov 12-13 (with half-day session on the 13th) ADEPT
    • We are offering ADEPT Registration for 2 Free Members from each center:
      • Link for free registration
      • Link for paid registration
    • Hotel registration: use this link to register for your rooms for the Learning Session and ADEPT. When registering click on “I have an access code” and enter the code (T1DX-LS2024) to open the room block.
    • T1DX-QI will cover the hotel costs for 2 team members for the nights of 11/10/2024 and 11/11/2024. Please confirm with your PI and email qi@t1dexchange.org if your room should be covered.
  • Achieving Diabetes Equity in Practice Today
    • T1D Exchange, in collaboration with the ADA, will be hosting a new diabetes equity focused conference titled, ADEPT. ADEPT 2024 will be held Tuesday and Wednesday, November 12-13 following the T1DX-QI Learning Session 2024 in Chicago, IL.
    • Use this link to view the FAQ. Please view these details before registering and use this link to register.

Next meeting: Thursday January 30, 11:00-12:30 PM EST

Link to Recording: https://us02web.zoom.us/rec/share/qjQyDxolhWFFP4crQ_KpFz-iYgzS08zrnU9Xi1cobaFco6WsWg5G_2_TPm7Oyjrl.Cggse-D7jjf445Fz

Passcode: BT^.c8WT